Our practice offers comprehensive, evidence-based lactation care in a supportive and non-judgmental manner to help families achieve their infant feeding goals.
During your prenatal consultation, a detailed breastfeeding history and maternal breast and health assessment will be done to identify risk factors and conditions that may impact breastfeeding. You will receive education on the effects of labor and delivery interventions, as well as intrapartum and postpartum procedures and medications. Ideally, the prenatal consultation should occur at least 4 weeks before the expected arrival of your baby. Anyone who is planning on breastfeeding benefits from a prenatal consultation and it is particularly important for those with the following risk factors.
Multiples or premature births
Inverted or flat nipples
High-risk pregnancies, or advanced maternal age
Difficulty conceiving or needing IVF or medications to conceive
Prior breast surgery or procedures
Previous breastfeeding difficulties
Polycystic ovarian syndrome (PCOS)
Non-gestational/adoptive parents planning to induce lactation
During your postnatal consultation, a detailed breastfeeding history, maternal breast and health assessment, and infant oral and health assessment will be done to identify areas of concern. Positioning, latch, suckling pattern and milk transfer will be evaluated. You will learn how to establish a healthy milk supply and a personalized feeding plan will be created.
Selection of optimal breast pump for your individual needs
Assistance with breast pump accessory fitting
Individualized return to work/school pumping plan
Training in both medicine and lactation enables our physicians to approach complex breastfeeding problems, order laboratory and/or imaging studies, prescribe medication, and provide general medical care pertaining to breastfeeding for both mom and baby.
Chronic breast pain
Hypotonia and hypertonia related to medical conditions such as prematurity, Down Syndrome, cerebral palsy
Slow infant growth related to ineffective feeding, allergies, gastroesophageal reflux (GER), and congenital heart defects
Compatibility of medications with breastfeeding
Use of galactagogues
Relactation and induced lactation for non-gestational/adoptive parents
Ankyloglossia or tongue-tie is a condition where tongue movement is restricted. The tongue is very important in breastfeeding, so the presence of a tongue-tie can pose challenges for both mom and baby. Our physicians can treat tongue tie in the office with a simple procedure.
Blistering of lips
Dribbling of milk during feed
Frequent, insufficient feedings
Poor infant weight gain or weight loss
Chomping, chewing at breast
Clicking sounds or sucking in of the cheeks while nursing
“Heart-shaped” tongue, with a dent or divet in the tip of the tongue, especially when crying
Restricted tongue movement
Inability to stick tongue out past gums
Inability to lift tongue toward top of mouth
Curling up of tongue edges when crying
Low milk supply
Pain while nursing
Plugged ducts, mastitis or thrush
Creased, flat or blanched nipples after nursing
Nipple damage such as bleeding, bruising, scabbing, or cracking.